Inpainting Pathology in Lumbar Spine MRI with Latent Diffusion

Data driven models for automated diagnosis in radiology suffer from insufficient and imbalanced datasets due to low representation of pathology in a population and the cost of expert annotations. Datasets can be bolstered through data augmentation. However, even when utilizing a full suite of transformations during model training, typical data augmentations do not address variations in human anatomy. An alternative direction is to synthesize data using generative models, which can potentially craft datasets with specific attributes. While this holds promise, commonly used generative models such as Generative Adversarial Networks may inadvertently produce anatomically inaccurate features. On the other hand, diffusion models, which offer greater stability, tend to memorize training data, raising concerns about privacy and generative diversity. Alternatively, inpainting has the potential to augment data through directly inserting pathology in medical images. However, this approach introduces a new challenge: accurately merging the generated pathological features with the surrounding anatomical context. While inpainting is a well established method for addressing simple lesions, its application to pathologies that involve complex structural changes remains relatively unexplored. We propose an efficient method for inpainting pathological features onto healthy anatomy in MRI through voxelwise noise scheduling in a latent diffusion model. We evaluate the method's ability to insert disc herniation and central canal stenosis in lumbar spine sagittal T2 MRI, and it achieves superior Frechet Inception Distance compared to state-of-the-art methods.

Explaining the Effectiveness of Multi-Task Learning for Efficient Knowledge Extraction from Spine MRI Reports

Pretrained Transformer based models finetuned on domain specific corpora have changed the landscape of NLP. However, training or fine-tuning these models for individual tasks can be time consuming and resource intensive. Thus, a lot of current research is focused on using transformers for multi-task learning (Raffel et al.,2020) and how to group the tasks to help a multi-task model to learn effective representations that can be shared across tasks (Standley et al., 2020; Fifty et al., 2021). In this work, we show that a single multi-tasking model can match the performance of task specific models when the task specific models show similar representations across all of their hidden layers and their gradients are aligned, i.e. their gradients follow the same direction. We hypothesize that the above observations explain the effectiveness of multi-task learning. We validate our observations on our internal radiologist-annotated datasets on the cervical and lumbar spine. Our method is simple and intuitive, and can be used in a wide range of NLP problems.

Efficient Extraction of Pathologies from C-Spine Radiology Reports using Multi-Task Learning

Pretrained Transformer based models finetuned on domain specific corpora have changed the landscape of NLP. Generally, if one has multiple tasks on a given dataset, one may finetune different models or use task specific adapters. In this work, we show that a multi-task model can beat or achieve the performance of multiple BERT-based models finetuned on various tasks and various task specific adapter augmented BERT-based models. We validate our method on our internal radiologist's report dataset on cervical spine. We hypothesize that the tasks are semantically close and related and thus multitask learners are powerful classifiers. Our work opens the scope of using our method to radiologist's reports on various body parts.